Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

NPI: 1942364732 · PHOENIX, AZ 85016 · Addiction (Substance Use Disorder) Counselor · NPI assigned 12/19/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more

$7.83M
Total Medicaid Paid
935,551
Total Claims
141,966
Beneficiaries
16
Codes Billed
2018-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
NPI Enumeration Date12/19/2006

Related Entities

Other providers sharing the same authorized official: GAITHER, CINDY

ProviderCityStateTotal Paid
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC SCOTTSDALE AZ $43.25M
PREMIER CARE OF INDIANA, INC. MARION IN $33.81M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC WASILLA AK $18.90M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $18.54M
PREMIER CARE OF OHIO LLC CINCINNATI OH $13.13M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC GLENDALE AZ $12.90M
PREMIER CARE OF WISCONSIN, LLC. WEST ALLIS WI $11.15M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC TUCSON AZ $10.72M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC YUMA AZ $10.33M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $8.96M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC FARGO ND $8.90M
PREMIER CARE OF OHIO, LLC. LIMA OH $5.35M
PREMIER CARE OF WISCONSIN, LLC. FOND DU LAC WI $4.91M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC ANCHORAGE AK $4.83M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC LAKE HAVASU CITY AZ $4.60M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC MINOT ND $4.16M
PREMIER CARE OF OHIO LLC KETTERING OH $2.67M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $2.49M
PREMIER CARE OF WISCONSIN, LLC. SOUTH MILWAUKEE WI $1.97M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC BUCKEYE AZ $1.84M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 173,023 $614K
2019 268,497 $2.39M
2020 270,321 $2.55M
2021 183,414 $1.92M
2022 40,296 $352K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2010 Comprehensive medication services, per 15 minutes 427,524 41,744 $4.34M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 371,906 37,425 $944K
T1016 Case management, each 15 minutes 69,052 14,087 $844K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 11,261 8,807 $528K
H0004 Behavioral health counseling and therapy, per 15 minutes 17,494 13,381 $408K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,498 8,228 $305K
H0031 Mental health assessment, by non-physician 1,483 1,458 $148K
T1003 Lpn/lvn services, up to 15 minutes 16,056 11,857 $117K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 3,060 313 $74K
T1002 Rn services, up to 15 minutes 3,015 2,220 $48K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 1,742 509 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 796 746 $21K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 1,402 146 $20K
H0038 Self-help/peer services, per 15 minutes 686 527 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 116 112 $3K
80305 460 406 $3K